A 52-year-old male from rural Maharashtra with no prior cardiovascular symptoms presents to a primary health centre for a routine health check-up. His BP is 148/94 mmHg, fasting blood glucose is 118 mg/dL, total cholesterol is 220 mg/dL, and BMI is 28.5 kg/m². He has a 15-year history of smoking (currently 10 cigarettes/day) and works as a farmer with minimal physical activity. Using the Indian CVD risk assessment guidelines, he is stratified as high-risk. What is the most appropriate next step in management?